| Midwest Dental | |
|
1600 Gilmore Ave Winona MN 55987-2172 | |
| (507) 452-4666 | |
| Not Available |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist |
| Location | 1600 Gilmore Ave, Winona, Minnesota |
| Authorized Official Name and Position | Jeffrey W. Moos (CEO) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 1600 Gilmore Ave Winona MN 55987-2172 Ph: (507) 452-4666 | Midwest Dental 1600 Gilmore Ave Winona MN 55987-2172 Ph: (507) 452-4666 |
| NPI Number | 1518140284 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518140284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11386 (Minnesota) | Primary |
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